Illinois Bone and Joint Institute LLC

NPI #1154949188 in Fox River Grove, Illinois

Provider Information

NPI Number: 1154949188
Entity Type: Organization
Organization Name: Illinois Bone and Joint Institute LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 7, 2020
Last Updated: Jul 7, 2020

Practice Location

Address: 1009 IL ROUTE 22 STE 1
City: Fox River Grove
State: Illinois
ZIP Code: 60021-1998
Phone: (847) 462-8707

Authorized Official

Name: WAYNE GOLDSTEIN
Title: PRESIDENT
Phone: (847) 324-3976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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